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	<title>热力机械工作票</title>
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<span style='font-size:22' align='center'><b>舟山朗熹发电有限责任公司<br>热&nbsp;&nbsp;力&nbsp;&nbsp;机&nbsp;&nbsp;械&nbsp;&nbsp;工&nbsp;&nbsp;作&nbsp;&nbsp;票</b></span>
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部门（单位）：<input type='text' class='input' name='dept' id='dept_m104' style='width:160' />班组：<input type='text' class='input' name='workUnit' id='workUnit_m104' style='width:140' />编号：<input type='text' class='input' name='paperId' id='paperId_m104' style='width:125' readonly='true'/>附页：<input type='text' class='input' name='attachPages' id='attachPages_m104' style='width:30' />张
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1、工作负责人：<input type='text' class='input' name='principal' id='principal_m104' style='width:170' />
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2、工作班人员（不包括工作负责人）：<input type='text' class='input' name='workers' id='workers_m104' style='width:400' />共<input type='text' class='input' name='workerNum' id='workerNum_m104' style='width:25' />人
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3、工作内容（包括工作地点和设备名称）：<textarea class='input' rows=3 name='task' id='task_m104' style='overflow:hidden;width:430'></textarea>
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4、计划工作时间： 自&nbsp;&nbsp;&nbsp;&nbsp;<input type='text' class='input' name='planTimeStart' id='planTimeStart_m104' style='width:160' /> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;开始至&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<input type='text' class='input' name='planTimeEnd' id='planTimeEnd_m104' style='width:160' />&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;结束
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5、安全措施：（必要时可附页绘图说明）
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	<tr height='25'><td width='84%' align='left'>5.1：检修工作要求工作许可人员执行的安全措施</td>
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	<tr height='25'><td width='84%' align='left'>5.2：检修工作要求检修人员自行执行的安全措施</td>
	<td width='8%' align='center'>已执行</td><td width='8%' align='center'>已恢复</td></tr>

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&nbsp;&nbsp;工作票填写人：<input type='text' class='input' name='fillMan' id='fillMan_m104' style='width:120' /> 工作票签发人：<input type='text' class='input' name='sendOutMan' id='sendOutMan_m104' style='width:120' /> 签发时间：<input type='text' class='input' name='sendOutTime' id='sendOutTime_m104' style='width:160' />
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6、收到工作票时间：&nbsp;&nbsp;<input type='text' class='input' name='signInTime' id='signInTime_m104' style='width:160' />&nbsp;&nbsp;&nbsp; 接票人签名：<input type='text' class='input' name='signInMan' id='signInMan_m104' style='width:120' />
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	<tr height='25'><td width='84%' align='left'>7：运行人员补充的安全措施</td>
	<td width='16%' align='center'>已执行</td></tr>

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8、批准工作结束时间：&nbsp;&nbsp;<input type='text' class='input' name='approveEndTime' id='approveEndTime_m104' style='width:160' />&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;值长：<input type='text' class='input' name='curRunLeader' id='curRunLeader_m104' style='width:110' />， (日期)<input type='text' class='input' name='curRunLeaderTime' id='curRunLeaderTime_m104' style='width:110' />
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单元长：<input type='text' class='input' name='unitLeader' id='unitLeader_m104' style='width:85' />， (日期)<input type='text' class='input' name='unitLeaderTime' id='unitLeaderTime_m104' style='width:110' /> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;工作许可人：<input type='text' class='input' name='permissiveMan' id='permissiveMan_m104' style='width:85' />， (日期)<input type='text' class='input' name='permissiveManTime' id='permissiveManTime_m104' style='width:110' />
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9、确认本工作票1～8项，许可工作时间：自&nbsp;&nbsp;&nbsp;<input type='text' class='input' name='permissiveTime' id='permissiveTime_m104' style='width:160' />&nbsp;&nbsp;&nbsp;许可工作开始，
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&nbsp;&nbsp;&nbsp;工作许可人：<input type='text' class='input' name='permissiveMan' id='permissiveMan_m104' style='width:100' />  &nbsp;&nbsp;&nbsp;工作负责人：<input type='text' class='input' name='principalPermission' id='principalPermission_m104' style='width:100' />
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10.确认工作负责人布置的工作任务和安全措施，工作班成员签名：
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&nbsp;&nbsp;&nbsp;<input type='text' class='input' name='workersSign' id='workersSign_m104' style='width:640' readonly='true'/>
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11、工作人员变动情况：
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&nbsp;&nbsp;&nbsp;(1)工作负责人变更：自&nbsp;&nbsp;<input type='text' class='input' name='principalChgTime' id='principalChgTime_m104' style='width:160' />&nbsp;&nbsp;，原工作负责人<input type='text' class='input' name='oldPrincipal' id='oldPrincipal_m104' style='width:85' />离去，变更为 <input type='text' class='input' name='newPrincipal' id='newPrincipal_m104' style='width:85' />
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&nbsp;&nbsp;&nbsp;担任工作负责人。&nbsp;&nbsp;工作票签发人：<input type='text' class='input' name='chgSendOutMan' id='chgSendOutMan_m104' style='width:110' />&nbsp;&nbsp;&nbsp;&nbsp; 工作许可人：<input type='text' class='input' name='chgPermissiveMan' id='chgPermissiveMan_m104' style='width:110' />
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&nbsp;&nbsp;&nbsp;(2)工作班人员变动：原工作班人员 <input type='text' class='input' name='chgOldWorker' id='chgOldWorker_m104' style='width:155' />离去，增加<input type='text' class='input' name='chgNewWorker' id='chgNewWorker_m104' style='width:140' />为工作班成员。
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&nbsp;&nbsp;&nbsp;工作负责人：<input type='text' class='input' name='chgWorkerPrincipal' id='chgWorkerPrincipal_m104' style='width:120' />，&nbsp;&nbsp;(时间)<input type='text' class='input' name='chgWorkerPrincipalTime' id='chgWorkerPrincipalTime_m104' style='width:160' />
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12、工作票延期：有效期延长到&nbsp;&nbsp;&nbsp;<input type='text' class='input' name='permissiveTime' id='permissiveTime_m104' style='width:160' />&nbsp;&nbsp;。
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&nbsp;&nbsp;&nbsp;值长：<input type='text' class='input' name='curRunLeaderDelay' id='curRunLeaderDelay_m104' style='width:90' />&nbsp;&nbsp;单元长：<input type='text' class='input' name='unitLeaderDelay' id='unitLeaderDelay_m104' style='width:90' />&nbsp;&nbsp;工作许可人：<input type='text' class='input' name='permissiveManDelay' id='permissiveManDelay_m104' style='width:90' />&nbsp;&nbsp;工作负责人：<input type='text' class='input' name='principalDelay' id='principalDelay_m104' style='width:90' />
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13、工作票终结：工作人员已全部撤离，现场已清理完毕。全部工作于&nbsp;&nbsp;&nbsp;<input type='text' class='input' name='endTime' id='endTime_m104' style='width:160' />&nbsp;&nbsp;&nbsp;&nbsp;结束。
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&nbsp;&nbsp;&nbsp;工作负责人：<input type='text' class='input' name='endPrincipal' id='endPrincipal_m104' style='width:120' />&nbsp;&nbsp;&nbsp;&nbsp; 工作许可人：<input type='text' class='input' name='endPermissiveMan' id='endPermissiveMan_m104' style='width:120' />
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14、检修设备试运后，工作票所列安全措施已全部执行，可以工作：
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	<tr height='25'><td width='33%' align='center'>允许恢复工作时间</td>
	<td width='33%' align='center'>工 作 许 可 人</td><td width='34%' align='center'>工 作 负 责 人</td></tr>

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15、备注：
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&nbsp;&nbsp;&nbsp;(1)指定专职监护人：<input type='text' class='input' name='wardMan' id='wardMan_m104' style='width:120' />负责监护：(在下行填写监护地点及具体工作)
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&nbsp;&nbsp;&nbsp;<input type='text' class='input' name='wardContent' id='wardContent_m104' style='width:640' readonly='true'/>
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&nbsp;&nbsp;&nbsp;(2)其他事项：<input type='text' class='input' name='paperRemark' id='paperRemark_m104' style='width:560' />。
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<tr height='25' align='right'><td><i>热力机械工作票第二页，编号：<input type='text' class='input' name='paperId' id='paperId_m104' style='width:125' readonly='true'/><i></td></tr>
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